Effect of early weight bearing program with conventional physiotherapy on functional outcomes in surgically treated proximal tibia fracture: a pilot randomized controlled trial
Introduction Patients are often instructed to avoid weight bearing on the proximal tibia for 6 − 12 weeks post-surgery to avoid fracture fixation failure. However, delayed weight bearing leads to delayed mobility, causing difficulties in daily activities; problems such as pain, limited knee ROM, red...
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Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2024-06, Vol.144 (6), p.2481-2489 |
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Sprache: | eng |
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Zusammenfassung: | Introduction
Patients are often instructed to avoid weight bearing on the proximal tibia for 6 − 12 weeks post-surgery to avoid fracture fixation failure. However, delayed weight bearing leads to delayed mobility, causing difficulties in daily activities; problems such as pain, limited knee ROM, reduced quadriceps muscle strength, and impaired functional outcomes are reported in long-term follow-up. This study primarily aimed to evaluate the feasibility and explore the effect size. The secondary aim was to determine the effectiveness of early weight bearing along with conventional physiotherapy on functional outcomes.
Materials and methods
A single-blinded pilot randomized controlled trial with 30 participants with proximal tibia type I, II, and III fractures were included; they were randomized using computer-based software. Seven patients were lost to follow-up. Group I received early weight bearing along with conventional physiotherapy whereas Group II received restricted weight bearing along with conventional physiotherapy. Assessments were made on post-operative day 3 (POD-03), at discharge, at 6 weeks, and at 12 weeks. Radiographs were recorded immediately after the operation, at discharge, and at 12 weeks.
Results
A full-scale RCT is feasible with an effect size between 0.3 − 0.7. A statistically significant difference (
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ISSN: | 1434-3916 0936-8051 1434-3916 |
DOI: | 10.1007/s00402-024-05347-w |